ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Auscultating bowel sounds first assesses bowel motility, guiding subsequent interventions for opioid-induced constipation.
Question 2 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the pad prevents burns or irritation by avoiding direct skin contact, ensuring safe application during peritoneal dialysis.
Question 3 of 5
A nurse is caring for a client who has partial-thickness burns on 50% of his body and is receiving total parenteral nutrition. The nurse should actively monitor the client for which of the following?
Correct Answer: A
Rationale:
Total parenteral nutrition can cause hyperglycemia due to high glucose content, requiring regular monitoring of serum glucose levels to manage potential complications.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Expecting a pale and dry stoma indicates a misunderstanding, as a healthy stoma should be pink and moist, signaling further teaching is needed.
Question 5 of 5
A nurse is collecting admission history data from a client who is in a semi-private room. Which of the following data is the priority for the nurse to address?
Correct Answer: B
Rationale: Recent tuberculosis exposure is a priority due to its contagious nature, requiring immediate isolation and testing to protect the client and others.